YOUTUBE: Floating to Critical Care

For nurses and midwives, the surge in hospital admission related to the pandemic and staffing needs has made transfers to other units quite common. Here are 10 tips and ideas on how to prepare for the next time you are asked to float to critical care from other units and vice versa.

005: Succeeding at Nursing Clinical Rotations, managing & making the most out of fear

A discussion on succeeding during nursing clinical training with a few ideas on preparation.

We also break down the management of the fear that comes with clinical placements in order to not only manage it, but increase productivity.

Links mentioned:
Three Steps to writing Nursing Care Plans

Minimalist Three Sectioned Clinical Bag

Ace your Study Space

Creating the right environment for inspiration and productivity is crucial towards getting work done on time and efficiently. These ideas have a huge impact on our mindsets and productivity levels, particularly if you are up against a creative block.

These go a long way in taking and keeping us in ¨the zone¨-a happy, still place-where work is more of a beckoning pleasure. So with these ideas, we can create a dedicated work space (no matter the size) with an ambience that taps into creative juices and positive energy.

Ps- The space is not always defined as a dorm room, home or office, it is where ever you like to get down to working.

1. Get Organized:

Environmental and mental organization divides the urgent from the not so urgent. Take To Do lists for one, to lay out all you need to do on paper (or an app), reduce the mental traffic jam of thoughts and outline tasks, intentionally.

¨A tidy space equals a tidy mind¨ is not a fallacy. Having work items in an ordered clear view & accessible is part of mental blocking. This sets the tone of the moment.

Organizing your space the night before going to bed pans out a clear path for take off in the morning. Cleaning out before starting the day is another way of doing that.

There is the regular clean up by Kondo. Clearing out to the basic needs and using organizers, folders and cabinets. As well you might go the Muji minimalist stationery.


2. Go green:

Flowers or succulents. A friend said cacti absorb harmful radiation from laptops and p.cs. Apart from recreating the mood boosting properties of nature, sprucing up the space with fresh flowers, leaves or a low maintainance succulent purifies the air around you.

You might give eucalyptus a shot, the smell is levitating.


3. Lighting:

There is an unoticeable eye strain from working in poorly lit environments. You may notice fatigue, one of the things to rule out is poor lighting.

If you can work under natural light, the better. If that is not possible, a decent table lamp will do.


4. Personalized space:

Giving your best shot is always simpler towards personal activities than most others. So a unique personalized space would only stir up the same effect on the tasks at hand.

This is with small things like a photo, a wall hanging, quotes, a memorable table placing that reminds you of home or a colour hue that zens you out! These work wonders on motivation when we hit creative blocks.


5. Comfort:

The workspace ought to be conducive and as comfortable as possible. Especially on long working days, discomfort can be a gnawing distractor. So open your windows and let the air circulate. Make sure the computer is on the right height and your back is well arched.

There is a feeling of cold feet that, atleast for me, feels like a freezing mind. So get a warm pair of socks/floor mat and a lap blanket for that seasonal whiff of cold  air.


6. Tune in or Tune Out:

Tune out the mental background noise with a hum of music like we do during pomodoro sessions using chill hop and jazz. Prefereably the kind that has no words which your mind might pick up and filter into the work at hand.

Top View Photo of Keyboard Near Earphone

You can tune into your mind, as well, with silence. If that is your thing, pick up some noise cancelling earphones for the office day or that coffee shop session.

Another fine tuner is a scented candle of vanilla or wild berry. A coffee scent if you prefer the straight up


7. Quick Ones:

Coaster; reduce the mess of a coffee ring stain & insulate 🙂

A calming or compartmentalizing view; could be a wall that reduces any visual distractors, nature for inspiration or city overview.

Hydration; a glass of water and a bottle of it 🙂 Out of sight, out of mind.

I hope you find these a good kickstart for this coming week and beyond.

Until next time, Elevate Nursing!

5 educational Apps & Study Programs for Nursing School

Having been created from effective study techniques, these applications and programs are some of the most efficient education resources yet. They are easily accessible and offer almost infinite retreavable data storage, so you can catch up on school work wherever you are.

In the realms of Nursing school, there are time consuming trials and errors in the quest to find brilliant, useful & affordable educational apps. Chances are, finding the suitable combination for your specific learning technique also takes time. Not anymore! We´ve tried and curated appropriate applications for various types of learners. Here they are!

1. Medscape:

Subscription free application with a reliable clinical database. There are various clinical specialties catered for as well as current news, research and so on. With an offline version, thisproves to be a sure way to keep studying on the go.

Study technique: Study group revision, personal studies and the best writing assignments such as care plans.

© Medscape

2. Anki App

This is an individualized spaced repetition app that allows you to create flashcards for regular studying. It is particularly useful for learning medical terms and new languages. There is a section of the app that gauges how well you remember these terms therefore useful for monitoring the efficiency of the study sessions.

© AnkiApp

Study techniques: Study group revision, note taking, individual studying 6 teaching for clinical instructors employing spaced repetition.

3. Picmonic:

This one is more so for audio-visual learners having a tonne of educational topics for various specialties. The diagrams are quite hilarious which makes learning fun! It promises you will remember everything, forever. I am not so sure how that is possible but trust the study technique.

© Picmonic app

I gave it a shot! The upside of picmonic is it utilizes spaced repetition and various study in unlimited multiple choice questions, online & offline viewing and unlimited access to media resources such as video. Daily acess to 20 questions, 1 video and a daily quiz.

The downside; the subscription service my dear students, with no student costs. For 77.99 Euro annually & 14.49 per month. It´d be better with student costs but a way around that is to try it for a week round between study group partners. As well, refering friends translates to 1 month free for every 2 subscriptions. How about that? However, i think it is worth the penny.

4. Tomato Timer:

This simple, functional website works by time blocking in the name of good old pomodoro study technique! If you are working on a computer, be sure to try it. Absolutely free!

Upside: You can adjust the time frames for other activities that take more than 25 minutes, negates the distraction prone phones, simple and easy to use. Such as mock exam revision sessions.

Downside: I haven´t found a downside, Maybe just that there are no application related as this is 100%.

© Be Focused

However, for a rather almost similar mobile application, give Be Focused a go. Apart from it´s simplicity and being free, it allows monthly progress tracking and in-app task management. Flow Timer does the same but you may have to subscribe to unlock all it´s resources.

5. Med Mnemonics:

By putting together over 1600 acronyms, rhymes, and memory tricks. The database covers various topics and the app allows addition of mnemonics by users who can share them via email.

Upside: An almost infinite modifiable database.

In order to maximise on these apps based on specific learning techniques, take a moment to read The 7 Types of Learners and Maximizing Learning Techniques for Nursing.

Until next time, Elevate Nursing 🙂

7 Types of Learners and Maximizing Learning Techniques + Apps for Nursing

The capacity to synthesize and retain information is often based on the types of learners we are, personality types and, often, the methodologies we employ in education. Being able to curve an individualised niche based on these is a clever way of making studying in Nursing school easier. That way, we work smarter and not necessarily harder.

There are 7 types of learners. Each person falls into one or more groups. The ease of transition within the respective groups is often encouraged in nursing education because there are different materials (classwork,clinical work, labs, experiements…) that we engage in, regardless of study technique. There are education applications as well that create study ease for each type of leaner.

We´ve individualised these learning style by relating with suitable study techniques & education applications for nursing.


1.Visual learners

These learners rely heavily on pictures, imagery, videos among other visual ques since their brain to hand co-ordination plays a major role in comprehension. They generally find ease in drawings and are inclined to using flow charts, various coloured pens and diagrams to explain concepts.

Person Using Ipad

The best learning techniques are; Note taking, diagrams, experiements, watching education videos, summarizing and researching.

Useful Apps: Picmonic & Med mnemonic app.


2. Aural or Auditory learners

They learn best by responding to sound and music. The voice of teachers, colleagues and face to face interactions with patients are best suitable for this group.

A caution is to avoid auditory distractions like studying in busy coffee shops.

White Samsung Earphones

Capitalize on the following learning techniques; watching videos, participate in group discussions, attending classes & asking questions, using word associations, vocal repetition, spaced repetition, recorded classroom sessions & audiobooks and/or podcasts,

Useful Apps:  Med Mnemoics app, podcasts and audio books.


3. Solitary learners

These individuals often keep to themselves and may be described as introverted as learning is fostered by independence in solitude. . However, the personality type does not necesarilly define this type of learners.

Woman Using Laptop

The best learning techniques are: self testing & studying within time blocking & spaced repetition, note taking, practice quizes, summarization and researching.

Useful apps: AnkiApp, Microsoft Excel for Spaced repetition and these.


4. Logical learners 

These inquisitive learners often draw conslusions indepedently as they thrive in intellectual challenges, logic and reasoning systematically. They employ creativity to think factually from different points of view.

Study techniques: Being prone to challenges, these learning retain more in group discussions and class presentations. They find ease in researching and experimenting. In the end, their summarization skills are above par as they use their own words and logic. Therefore, other recommended techniques include individualized studying, online and group debates, role play.

Apps: Med Mnemoics, Anki App & PicMonic.


5. Verbal Learners

These expresive group learn best by using words  by verbal instruction and/or writing activities. They thrive in learning opportunities involving speaking such as teaching others.

Study techniqques suitable are group discussions, experimentation in lab work, demonstration, acronyms, vocalization of ideas to self and role play.

Apps: Med mnemoics & Picmonic.

Three Woman Talking Near Laptop on Desk Inside Room


6. Physical Learners

These are learners who engage with movement in their studies by utilizing body, hands & the sense of touch. These is often associated with individuals who speak with hands as a conductor of  their words.

Learning techniques, Flow charts & drawings, group studies, role play and presentations.

Apps: Med mnemoics & Picmonic.

Person Pointing at Flowchart

7. Social Learners

You know that expressive person who can, in a crowd, conceptualize topics into logic just their explanation? That is a social learner. They are inquisitive, expressive individuals who learn best by engaging with others, often verbally.

Learning techniques: Group discussions, picmonic, experimentation, demonstration, acronyms, vocalization of ideas to self and role play.

Apps: Med Mnemoics, Anki App & PicMonic.

Three Persons Sitting on the Stairs Talking With Each Other


Conclusion:

Different people prefer various learning styles and techniques. However, there is a mix of learning styles where one style is more dominant.

Other people find different styles effective in different situations. In nursing school, this allows a flow between clinical to class work and maintain momentum despite different teaching styles. You always have a self curated fallback.

There is no perfect mix. So if you can, give them all try or rather or identify those you identify with then develop what works best for you.

For the suitable nursing learning apps and programs, we´ve unpacked them here.

All the best & until next time,

Elevate Nursing.

Three Steps to writing a Nursing Care Plan

First things first, are you a critical thinker? It is important to utilize critical thinking skills in order to understand and implement good nursing care plans (NCP) either in class or during clinicals. As a nurse, you will sharpen this as you continually practice NCPs so do not worry if you feel weak on this front.

Before we discuss the Three Steps here are ideas to keep in mind prior to writing NCPs;

Create a therapeutic relationship with the patient.  It is important to include the patient when creating NCPs. Their effort is vital in implementing certain interventions.

On teamwork, be inclusive of other health care personell roles. Some Nursing Diagnoses require interventions from others to support nursing care and efficiently achieve set objectives. Commence with the nursing interventions on the NCP in writing and finalize with the other team members roles/activities. e.g counsellors, social workers, physiotherapists etc.

Prioritize the nursing diagnoses in alignment with the urgent assesment findings of the patient. Sometimes you may begin with ¨non risk” and finalize with the ¨risk of¨ diagnoses.


The Three steps;

  1. Data Collection
  2. Analyze the data
  3. Translate

Data Collection;

  • Collect subjective information from interviewing the patient and their accompanying family, patient history, signs and symptoms. These are unquantifiable.
  • Obtain objective information from head to to assessment, Vital signs. These are quantifiable.
  • Others include data from nursing report & patient reviews.

Analyze the data;

  • Understand the pathophysiology & patient history.
  • Group the data collected that relate to each other. Example; Diaphoresis, Tachycardia, patient reports pain on left upper quadrant of 7/10 on the pain scale for 30 mins, patient lying on bed clutching abdomen & groaning…This will direct to a nursing diagnosis of Pain.
  • Within the grouped data indicate either as subjective or objective.

Translate;

  • Assessment;

List the data in groups based on their relationship to each other. This will assist in finding suitable diagnoses. List and write all the possible diagnoses down on a sketch paper.

  • Nursing Diagnosis;

Use the nursing diagnosis manual to find a suitable diagnosis for each group of assessment data.

What is the diagnosis related to? A recent surgery, trauma, or the disease process (pathophysiology).

As Evidenced By; The particular assessed data that you will intervene to resolve.

  • Goals /Objectives;

What you realistically expect to achieve by reversing the specific value you listed under ‘as evidenced by’. By resolving these eventually you’ll manage the nursing diagnosis.

SMART (Specific, Measurable, Achievable, Relevant, Time bound)objectives for how soon the presentation of the patient can improve given the assessment data, diagnosis, and projected interventions.

  • Interventions;

What would you do to resolve the specific ‘evidence’? Visualize nursing activities and/or what other health personnel can do. Since in teamwork, not everything can be done by a nurse, include the role of the physiotherapist, the doctor, social worker, counselor etc. Discuss with them during rounds about your observations and weigh in on how you can work to resolve the particular indicators you noted.

  • Rationale;

The scientific/evidence-based reason behind each intervention.

  • Evaluation;

A measure of the initial assessment data to exhibit the achievement of the set objectives which, in whole, indicate resolution of the particular nursing diagnoses. These are either subjective or objective.


Here is a sample Nursing Care Plan structure for your use.


Share your thoughts on these steps and be sure to give NCPs a shot.

🙂 Cate

Tetralogy of Fallot

A two-year-old patient is admitted into the ward with a diagnosis of Tetralogy of Fallot.

  • Draw and label the position of heart defects in tetralogy of Fallot and direction of blood flow.
  • List six clinical manifestations the patient presents.
  • State five actual nursing diagnoses for this patient.

Tetralogy of Fallot consists of four associated defects:

  1. Ventricular septal defect; This involves the membranous septum and the anterior portion of the muscular septum    , and right ventricular hypertrophy.
  2. Dextroposition of the aorta or overriding aorta; The aorta overrides the right ventricle and is in communication with the septal defect
  3. Narrowing of the pulmonary outflow channel; including pulmonic valve stenosis, a decrease in the size of the pulmonary trunk, or both
  4. Hypertrophy of the right ventricle; Due to the raised work required to pump blood through the obstructed pulmonary channels.

Signs and symptoms;

  1. Cyanosis due to right-to-left shunting at the ventricular septal defect.                        The degree of cyanosis is determined by the restriction of blood flow into the pulmonary bed. Right ventricular outflow obstruction causes deoxygenated blood from the right ventricle to shunt across the ventricular septal defect and be ejected into the systemic circulation.
  2. Hypercyanotic attacks (“tet spells”) which often occur the morning during crying, feeding, or defecating. These stressful activities often raise oxygen needs. Crying and defecating may additionally raise pulmonary vascular resistance.
  3. Acutely cyanotic, irritability & diaphoresis which often occur with the tet spells.
  4. Loss of conciousness; Later in the spell, the infant becomes limp and may lose consciousness.

Diagnosis;

  • Harsh systolic ejection murmur on auscultation from turbulent flow across the narrow right ventricular outflow track.
  • Chest radiograph
  • Electrocardiogram & echocardiogram. (echocardiogram PROVIDES the definitive diagnosis)

Management;

  • Total surgical correction is required for all children with tetralogy of Fallot.
  • Placing the infant in the knee-chest position increases systemic vascular resistance, which increases pulmonary blood flow and decreases right-to-left shunting. During a hypercyanotic spell, toddlers and older children may spontaneously assume the squatting position, which functions like the knee-chest position to relieve the spell.

Nursing Management;

  • Ineffective infant feeding pattern
  • Imbalanced nutrition: less than body requirements
  • Activity intolerance
  • Ineffective peripheral tissue perfusion
  • Acute Pain
  • Decreased cardiac output

There are Three simple steps to writing a nursing care plan  for you to use the nursing process in managing this client


References;

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2651859/

Photo credits; Medline Plus

Principles of Primary Health Care:Paper III

In Primary Health Care, fair and responsible distribution of available resources to all individuals and families to enable them meet their fundamental and basic needs is the principle of:-

  • Affordability
  • Equity
  • Accessibility
  • Acceptability

 

The 10 Joys of Nursing!! & 10 more :)

 

1. Wearing pyjamas and captain nursing caps to work! Scrubs have such pyjama comfort we ought to all agree they are professional jammies. Then there are crocs & floaters. Jumping from cloud to cloud. Case Closed.

2. The first cry of a newborn and pediatrics´ yawns. Sigh.

3. The calm amid the storm. Nurses remain unscathed, seemingly unbothered yet fully concerned, amid cocktails of body fluids and nonstop multifrequency sounds.

4. Seeing the world through the eyes of other peoples experiences. It makes you openminded.

5. Days off on Mondays. Sleeping when the world wakes up. Haha, Going against traffic.

6. Teamwork. Synergy. Pushing. Failing fast & flourishing.

7. Looking at peoples’ veins keenly absentmindedly.

8. Candy in your pocket!! The comfort of their accessibility. Remembering you forgot to eat them.

9. Silent late nights, you can hear your pencil scratching the paper. Screeching crickets. Pages turning. Studying amid sensational coffee scents. Chasing the unattainable A++.

10. Your itchy cheek behind a mask, over a sterile field.

‘Rotating nurse, my cheek is itchy’

Response: ‘which one.’

And that’s not a question.

11. End of a nonexhausting busy day. Because the passion fuels you….evening runs!

12. A fleet of notebooks, highlighters & pens. Writing journals like cardexes.

13. Successful resuscitations. Pulses. Soft breaths. Chest rise. Mumbling then walking home. Patient gratefulness.

14. Comical bedpan stories. We strangely like what we hate.

16. Elderly patients. Their blunt humour sandwiching wise counsel.

17. An infinite profession with Over 100 specialities!! I am every nurse, it’s all in meeee….

18. Having uninhibited nonjudgemental conversations with people of all ages in confidentiality.

19. Undefiable confidence that grows and grows despite the beginners fear of failing. Things neither shock nor scare nurses. There’s always a movement within us though, like a deposition & Acknowledgement where reality percolates through all our senses. Nursing is a science and an Art.

20. Coffee mugs the size of water tanks. Endorphin rush with the sneakers to carry you through it.

Share with us what yours are 🙂

Happy Nurses Week 2018.

HOLISTIC NURSING SERIES

img_0204-1.jpg

Hello there! I do hope you are wonderfully well! Welcome to the month of nurses week, May I say delighted I am about it. For that reason and sheer excitement, I would like to chat with you about holistic nursing in specifics.

Oxymorons aside, the series will be centred on breaking down the big picture of healthcare in small frames from a nursing perspective. The general wellbeing of nurses from how the profession affects them and the implication of these outcomes on nurses, the profession, healthcare organizations & their clients.

These are the episodes;

Understanding Compassion Fatigue in Nursing

Managing Compassion Fatigue for Nurses

Organizational Detriments of Compassion Fatigue

How to aid Health Workers Overcome Compassion fatigue Part 1

How to aid Health Workers Overcome Compassion fatigue Part 2

I hope you will benefit from this in-depth series! Share it with a friend, a colleague and/or a stranger who can enjoy it too. Get in touch with us here. Let me know what you think about these matters, what you’d like to discuss and so on.

Enjoy the week & Enjoy your life.

Cate